Fire Class Request - College of The Albemarle

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Fire Class Request - College of The Albemarle
Fire Class Request
Name of Class:
Meeting Dates & Days:
Times:
Total No. of Hours:__________ Projected Number of Students:_________________________
Class Location:
Instructor’s Name:
Name (s) of secondary instructor (s) if applicable:
Travel (number of miles):
(In order to claim travel, the trip must be 15 or more miles one way.)
Please use reverse side for special requests or additional information.
----------------------------------------------------------------------------------------------------------------------------Send to:
College of The Albemarle
WD&CR
P.O. Box 2327
Elizabeth City, NC 27906
Phone: 252-335-0821, ext. 2518
Fax:
252-337-6710
Email: [email protected]
www.albemarle.edu
Note: One copy is needed for each class. Make copies as needed.

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